Nokea
A toddler in the emergency department has partial thickness burns on his right arm. Which of the following actions should the nurse take?
- A. Insert a nasogastric tube
- B. Initiate prophylactic antibiotic therapy
- C. Cleanse the affected area with mild soap and water
- D. Apply a topical corticosteroid to the affected area
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?
- A. #ERROR!
- B. Potassium level of 3.5mEq/L
- C. Crackles in the lungs are no longer heard
- D. Jugular vein distention
Correct Answer: C
Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me 'down there'? What is the nurse's best response?
- A. They are going to fix you up 'down there'.
- B. They will move your testicle from your abdomen to your scrotum.
- C. What do you think your doctor is going to do?
- D. You shouldn't worry. Your doctor knows exactly what to do.
Correct Answer: C
Rationale: The nurse should encourage the child to express his thoughts and feelings about the upcoming surgery. This approach helps the child feel heard and understood while providing an opportunity to address any misconceptions or fears. By asking the child what he thinks the doctor will do, the nurse engages the child in a conversation that can help alleviate anxiety and build trust. School-age children often have fears related to bodily harm, and open communication can help alleviate such concerns.
Abrupt withdrawal of baclofen may cause
- A. depression
- B. drowsiness
- C. headache
- D. seizure
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is planning care for a child with hyperkalemia. Which manifestation associated with the documented hyperkalemia requires immediate intervention by the healthcare provider?
- A. Hyperthermia
- B. Respiratory distress
- C. Seizures
- D. Cardiac arrhythmias
Correct Answer: D
Rationale: In hyperkalemia, cardiac arrhythmias are the most critical and life-threatening manifestation that requires immediate intervention. Hyperkalemia can lead to dangerous heart rhythm disturbances, potentially resulting in cardiac arrest. Prompt treatment is essential to stabilize the heart rhythm and prevent life-threatening complications.
A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
- A. Take vital signs.
- B. Establish an intravenous line.
- C. Perform rapid neurologic assessment.
- D. Maintain a patent airway.
Correct Answer: D
Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. Establishing an intravenous line and performing other assessments are important but maintaining a patent airway takes precedence to prevent hypoxia and ensure the child's safety.